Individual
ANGELA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 ABBEY WOODS, BRANDON, MS 39047-7720
(601) 405-1989
Mailing address
409 ABBEY WOODS, BRANDON, MS 39047-7720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C10672
MS
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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